Healthy Boundaries Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4429 Issued in OK

Legal business name

HEALTHY BOUNDARIES INC

Practice address

6028 S 66TH East Ave
Suite 105
Tulsa, OK 74145-9231

Phone

(918) 809-8164

Fax

(918) 499-2280

NPI assigned

Oct 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Daniel Merle Ulberg II, LPCNPI 1043450398

Title

President

Phone

(918) 809-8164

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Ulberg, LPC

  • Professional Counselor
  • Tulsa, OK
  • NPI 1043450398
  Medicare reassignment NPD Authorized official
• Bren Jelea Ulberg, LCSW

  • Clinical Social Worker
  • Tulsa, OK
  • NPI 1467766717
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1891167060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S 66TH EAST AVE",
            "address_2": "SUITE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459231",
            "telephone_number": "918-809-8164",
            "fax_number": "918-499-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 S 66TH EAST AVE",
            "address_2": "SUITE 105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459231",
            "telephone_number": "918-809-8164",
            "fax_number": "918-499-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY BOUNDARIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "ULBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MERLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-809-8164",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.